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Why Warfarin Should Be Managed in Primary Care.

Katherine Montag Schafer1, Anne Keenan2

  • 1Department of Family Medicine and Community Health, University of Minnesota Medical School, St Paul, Minnesota monta080@umn.edu.

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Summary
This summary is machine-generated.

Primary care clinics should manage anticoagulation onsite. Centralizing this service may impact the scope of practice and patient care, as local teams offer comprehensive, relationship-based management.

Keywords:
anticoagulationfamily practiceintegrated health care deliverypatient care teampatient-centered care

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Area of Science:

  • Family Medicine
  • Clinical Pharmacy

Background:

  • A family medicine clinic previously managed anticoagulation onsite for five years.
  • This service has been moved to a centralized anticoagulation team, against the clinic's recommendation.

Purpose of the Study:

  • To advocate for the retention of onsite anticoagulation management within primary care settings.
  • To highlight the importance of local, interdisciplinary management for comprehensive patient care.

Main Methods:

  • Retrospective review of clinical practice and scope of service.
  • Qualitative assessment of the impact of service centralization on patient care models.

Main Results:

  • Onsite management by a physician-pharmacy team was successfully conducted for five years.
  • Centralization of anticoagulation management is perceived to negatively impact the scope of primary care practice.

Conclusions:

  • Anticoagulation management is integral to primary care, benefiting from comprehensive care and established patient-team relationships.
  • Maintaining anticoagulation services within primary care optimizes patient outcomes and preserves the scope of practice.